Individual provider Active NPI

Ameneh Mashayekh, M.D.

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1720391568
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME139352 Issued in FL
Practice address
12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone
(813) 745-7365
Fax
(813) 449-8618
NPI assigned
Jul 21, 2010
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME139352 FL Primary

Addresses

Primary practice location

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Mailing address

PO Box 198441
Atlanta, GA 30384-8441
Phone (813) 745-7365

Other identifiers 1

IdentifierTypeStateIssuer
102271500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190621001827 FL Practitioner - Diagnostic Radiology 3971736125 Reassigns benefits to 8 organizations
I20211020002081 VI Practitioner - Diagnostic Radiology 3971736125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone (888) 860-2778

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.68 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.28

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME139352FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Health Imaging Services LLC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
Inverness Medical Imaging LLC Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
East Central Florida Outpatient Imaging LLC Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc Diagnostic Radiology CurrentSince Mar 31, 2025 Accepting new patients
St Thomas Radiology Associates LLC Diagnostic Radiology CurrentSince Oct 23, 2020 Accepting new patients
Timberridge Imaging Center Diagnostic Radiology CurrentSince Aug 9, 2021 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology CurrentSince Aug 9, 2021 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology PastSince Feb 11, 2024 Accepting new patients
East Central Florida Outpatient Imaging, LLC Diagnostic Radiology Past Accepting new patients
St. Thomas Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients

Locations

1673 Mason Ave
Ste 305
Daytona Beach, FL 32117
Phone 3862747118 ext. 7704

1890 Lpga Blvd
Ste 110
Daytona Beach, FL 32117
Phone 3862747118 ext. 7704

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

577 N Williamson Blvd
Daytona Beach, FL 32114

3400 E Halifax Crossing Blvd
Ste 170
Deltona, FL 32725

2105 Highway 44 W
Inverness, FL 34453
Phone (352) 419-4818

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

2300 SE 17th St
Ste 800
Ocala, FL 34471
Phone (352) 690-8403

9521 SW Highway 200
Ocala, FL 34481
Phone (352) 351-7500

2128 Park Ave
Orange Park, FL 32073
Phone (904) 264-9922

21 Hospital Dr
Ste 130
Palm Coast, FL 32164
Phone (386) 445-4400

3202 N Park Rd
Plant City, FL 33563
Phone (813) 757-1200

1195 Dunlawton Ave
Port Orange, FL 32127
Phone (386) 763-5300

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

12902 Usf Magnolia Dr
Tampa, FL 33612
Phone (888) 663-3488

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

4500 Sunny Isle
Ste 4B
Christiansted, VI 00820
Phone (340) 778-5840

9048 Sugar Est
St Thomas, VI 00802
Phone (340) 693-6211

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1720391568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198441",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848441",
            "telephone_number": "813-745-7365",
            "fax_number": "813-449-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 USF MAGNOLIA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129416",
            "telephone_number": "813-745-7365",
            "fax_number": "813-449-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHAYEKH",
        "first_name": "AMENEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME139352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102271500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.